<style>
input{
border: 1px solid black;
}
.table td{
padding:5px;}
</style>
    <table class="table" width="100%"    cellspacing="1">

     <tr   bgcolor="#C8C8C8">
      <td width="10%"><b>流水号</b></td>
      <td  colspan="5">${LSH!}</td>
      
    </tr>
    
    <tr   bgcolor="#C8C8C8"  >
      <td width="10%"><b>身份证明名称</b></td>
      <td width="23%"><select name="vehicle.SFZMMC"    style="width: 150px;">
      	<option>身份证</option>
      	<option>军官证</option>
      	<option>士兵证</option>
      	<option>护照</option>
      </select></td>
      <td width="10%"><b>身份证明号码</b></td>
      <td width="23%"><input  style="border: 1px solid black;"   value="1402" name="vehicle.SFZMHM"  /></td>
      <td width="10%"><b>居住暂住证号</b></td>
      <td width="23%"><input   name="vehicle.ZZZ"  style="width: 150px;"/></td>
    </tr>
    
    <tr   bgcolor="#C8C8C8">
      <td width="10%"><b>姓名/名称</b></td>
      <td  ><input style="width: 150px;"  name="vehicle.SYR" /></td>
      <td width="10%"><b>年龄</b></td>
      <td  ><input   name="vehicle.SYR" /></td>
      <td width="10%"><b>性别</b></td>
       <td width="23%"><select name="vehicle.SFZMMC" style="width: 150px;">
      	<option>男</option>
      	<option>女</option>
      </select></td>
    </tr>
    <tr   bgcolor="#C8C8C8"  >
      <td width="10%"><b>是否残疾</b></td>
      <td width="23%"><select name="vehicle.SFCJ" style="width: 150px;">
      	<option>否</option>
      	<option>是</option>
      </select></td>
      <td width="10%"><b>残疾人证明</b></td>
      <td width="23%"><input  style="border: 1px solid black;"  name="vehicle.CJRZM"  /></td>
        <td width="10%"></td>
      <td width="23%"></td>
    </tr>
    
      <tr   bgcolor="#C8C8C8"  >
      <td width="10%"><b>是否60周岁</b></td>
      <td width="23%"  ><select name="vehicle.SF60ZS" style="width: 150px;">
      	<option>否</option>
      	<option>是</option>
      </select></td>
      <td width="10%"><b>老年人证明</b></td>
      <td width="23%"><input  style="border: 1px solid black;"  name="vehicle.LNRZM"  /></td>
       <td width="10%"></td>
      <td width="23%"></td>
    </tr>
    
    
    <tr   bgcolor="#C8C8C8">
      <td width="10%"><b>住所地址</b></td>
      <td width="23%">
      <select  style="width: 150px;"  name="vehicle.ZSXZQH">
      	<option>城区</option>
      	<option>矿区</option>
      	<option>新荣区</option>
      	<option>南郊区</option>
      	<option>市辖区</option>
      	<option>大同县</option>
      	<option>阳高县</option>
      	<option>天镇县</option>
      	<option>广灵县</option>
      	<option>灵丘县</option>
      	<option>浑源县</option>
      	<option>左云县</option>
      </select>
      </td>
      <td width="23%" colspan="4"><input name="vehicle.ZSXXDZ"  style="width: 80%;"/></td>
    </tr>
    
    
    
    
    <tr   bgcolor="#C8C8C8">
      <td width="10%"><b>使用性质</b></td>
      <td width="23%">
      <select  name="vehicle.SYXZ"    style="width: 150px;">
      	<option>家庭自用</option>
      	<option>企业使用</option>
      	<option>政府使用</option>
      	<option>快递使用</option>
      	<option>外卖使用</option>
      </select>
      </td>
      <td width="10%"><b>来历证明</b></td>
      <td width="23%">
      	<select  name="vehicle.LLPZ1"  style="width: 150px;">
      	<option>购买</option>
      	<option>继承</option>
      	<option>赠予</option>
      	<option>中奖</option>
      	<option>协议离婚</option>
      	<option>协议抵偿债务</option>
      </select>
      </td>
      <td width="10%"><b>凭证编号</b></td>
      <td width="23%" colspan="3"><input  name="vehicle.PZBH1"  /></td>
    </tr>
  
    <tr   bgcolor="#C8C8C8">
      <td width="10%"><b>备注</b></td>
      <td  colspan="5"><input name="vehicle.BZ"    style="width: 80%;"/></td>
      
    </tr>
    

</table>




						
	